Indents on either side of nose post under eye filler. Should I dissolve?

Hello,

Noticing changes in your facial structure after having had under-eye filler a couple of years ago can be concerning. The indents you're observing on either side of your nose could potentially be due to a few factors:

Filler Migration: It's possible that the filler has migrated slightly from its original placement, which can occasionally happen over time. This might create unevenness or indents in areas near the filler site.

Natural Changes: As we age, natural changes in the facial structure can occur, which might reveal or accentuate areas that were previously not as noticeable.

Volume Loss: Loss of volume in surrounding areas, unrelated to the filler itself, could also contribute to the appearance of indents.

Before deciding to dissolve the filler, consider consulting with a qualified dermatologist or cosmetic surgeon. They can assess your situation in person, review your treatment history, and determine the best course of action. If the indents are due to filler migration, dissolving the filler with hyaluronidase might be an option. However, a professional evaluation is crucial to ensure the correct approach is taken.

Best regards,

Ultrasound is a great tool to be able to identify if the apparent indent is related to near by filler (creating a peak and valley appearance). We've had many patient present with a similar appearing "dent" that is most evident when smiling. Using ultrasound-guidance, we are able to identify, target and dissolve the problematic filler with great results. Best of Luck! Dr. Shaden, Woodland Hills, CA